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You’ve identified a problem, collaborated with your preceptor and team, researched, and planned. However, you are still not yet ready to begin implementing your problem change. Before

Discussion

Barriers and Solutions to Implementation

You’ve identified a problem, collaborated with your preceptor and team, researched, and planned. However, you are still not yet ready to begin implementing your problem change. Before you can begin the implementation of your problem change, you must consider what barriers might pose potential issues. What might you need to plan for, and how might you address these potential barriers prior to beginning the implementation?

For this Discussion, consider the barriers and solutions associated with your implementation. Consider how these issues can be addressed and examine how these barriers might impact your implementation.

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

Learning Resources

Required Resources

  • Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International.
    • Chapter 8, “Translation” (pp. 189–206) 
  • Sipes, C. (2024). Project management for the advanced practice nurse (3rd ed.). Springer Publishing.
    • Chapter 4, “Planning: Project Management – Phase 2” (pp. 85–130)
  • White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2021). Translation of evidence into nursing and healthcare (3rd ed.). Springer Publishing.
    • Chapter 8, “Methods for Translation” (pp. 173–196)
    • Chapter 9, “Project Management for Translation” (pp. 199–228)
    • Chapter 10, “Ethical Responsibilities of Translation of Evidence and Evaluation” (pp. 229–244)
    • Chapter 17, “Best Practices in Translation: Challenges and Barriers in Translation” (pp. 337–346)
    • Chapter 18, “Legal Issues in Translation” (pp. 347–354) 
  • American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing educationLinks to an external site.. https://www.aacnnursing.org/Portals/0/PDFs/Publications/Essentials-2021.pdf
  • Walden University Oasis: Writing Center. (n.d.). Citations: OverviewLinks to an external site.. https://academicguides.waldenu.edu/writingcenter/apa/citations 
  • Walden University Oasis: Writing Center. (n.d.). Common assignments: Discussion postLinks to an external site.. https://academicguides.waldenu.edu/writingcenter/assignments/discussionpost 

Examples of Clinical and Administrative Practice Changes – Implementation of Evidence

  • Álvarez-Maldonado, P., Reding-Bernal, A., Hernández-Solís, A., & Cicero-Sabido, R. (2019). Impact of strategic planning, organizational culture imprint and care bundles to reduce adverse events in the ICULinks to an external site.International Journal for Quality in Health Care, 31(6), 480–484. https://doi.org/10.1093/intqhc/mzy198
  • Barnes-Daly, M. A., Pun, B. T., Harmon, L. A., Byrum, D. G., Kumar, V. K., Devlin, J. W., Stollings, J. L., Puntillo, K. A., Engel, H. J., Posa, P. J., Barr, J., Schweickert, W. D., Esbrook, C. L., Hargett, K. D., Carson, S. S., Aldrich, J. M., Ely, E. W., & Balas, M. C. (2018). Improving health care for critically ill patients using an evidence-based collaborative approach to ABCDEF bundle dissemination and implementationLinks to an external site.Worldviews on Evidence-Based Nursing, 15(3), 206–216. https://doi.org/10.1111/wvn.12290
  • Baughman, A., Cain, G., Ruopp, M., Concepcion, C., Oliveira, C., O’Toole, R., Saunders, S., Jindal, S., Ferreira, M., & Simon, S. (2018). Improving access to care by admission process redesign in a veterans affairs skilled nursing facilityLinks to an external site.The Joint Commission Journal on Quality and Patient Safety, 44(8), 454–462. https://doi.org/10.1016/j.jcjq.2018.04.002
  • Busca, E., Savatteri, A., Calafato, T. L., Mazzoleni, B., Barisone, M., & Dal Molin, A. (2021). Barriers and facilitators to the implementation of nurse’s role in primary care settings: An integrative reviewLinks to an external site.BMC Nursing, 20(1), 1–12. https://doi.org/10.1186/s12912-021-00696-y
  • Curtis, K., Fry, M., Shaban, R. Z., & Considine, J. (2017). Translating research findings to clinical nursing practiceLinks to an external site.Journal of Clinical Nursing, 26(5–6), 862–872. https://doi.org/10.1111/jocn.13586
  • Lockwood, C., & Hopp, L. (2016). Knowledge translation: What it is and the relevance to evidence-based healthcare and nursingLinks to an external site.International Journal of Nursing Practice, 22(4), 319–321. https://doi.org/10.1111/ijn.12466
  • Naqib, D., Purvin, M., Prasad, R., Hanna, I. M., Dimitri, S., Llufrio, A., & Hanna, M. N. (2018). Quality improvement initiative to improve postoperative pain with a clinical pathway and nursing education programLinks to an external site.Pain Management Nursing, 19(5), 447–455. https://doi.org/10.1016/j.pmn.2018.06.005 
  • Reed, J. E., Howe, C., Doyle, C., & Bell, D. (2018). Simple rules for evidence translation in complex systems: A qualitative studyLinks to an external site.BMC Medicine, 92 (16), 1–20. https://doi.org/10.1186/s12916-018-1076-9
  • Schuller, K. A., Kash, B. A., Edwardson, N., & Gamm, L. D. (2013). Enabling and disabling factors in implementation of Studer Group’s evidence-based leadership initiative: A qualitative case studyLinks to an external site.Journal of Communication in Healthcare, 6(2), 90–99. https://doi.org/10.1179/1753807613Y.0000000033
  • Yeager, L, Karp, S., & Leming-Lee, T. (2019). Barriers to the implementation of pediatric overweight and obesity guidelines in a school-based health centerLinks to an external site.The Nursing Clinics of North America, 54(1), 159–168.https://doi.org/10.1016/j.cnur.2018.10.003
  • Assignment Rubric DetailsClose

Rubric

  • NURS_8503_Week2_Discussion1_Rubric

NURS_8503_Week2_Discussion1_Rubric

Criteria

Ratings

Pts

This criterion is linked to a
Learning OutcomeRESPONSIVENESS TO DISCUSSION QUESTION (20
possible points) Discussion post minimum requirements: The
original posting must be completed by Day 3 at 10:59 pm CT. Two
response postings to two different peer original posts, on two
different days, are required by Day 6 at 10:59 pm CT. Faculty
member inquiries require responses, which are not included in the
peer posts. Your Discussion Board postings should be written in
Standard Academic English and follow APA 7 style for format and
grammar as closely as possible given the constraints of the
online platform. Be sure to support the postings with specific
citations from this week’s learning resources as well as
resources available through the Walden University library and
other credible online resources (guidelines, expert opinions
etc.)

20 to
>19.0 pts

Excellent

Discussion
postings and responses are responsive to and exceed the
requirements of the Discussion instructions. • The student
responds to the question/s being asked or the prompt/s
provided. Goes beyond what is required in some meaningful way
(e.g., the post contributes a new dimension, unearths
something unanticipated) • Demonstrates that the student has
read, viewed, and considered a variety of learning resources,
as well as resources available through the Walden University
library and other credible online resources (guidelines,
expert opinions etc.) • Exceeds the minimum requirements for
discussion posts.

19 to
>15.0 pts

Good

Discussion
postings and responses are responsive to and meet the
requirements of the Discussion instructions. • The student
responds to the question/s being asked or the prompt/s
provided. • Demonstrates that the student has read, viewed,
and considered a variety of learning resources, as well as
resources available through the Walden University library and
other credible online resources (guidelines, expert opinions
etc.) • Meets the minimum requirements for discussion posts.

15 to
>12.0 pts

Fair

Discussion
postings and responses are somewhat responsive to the
requirements of the Discussion instructions. • The student
may not clearly address the objectives of the discussion or
the question/s or prompt/s. • Minimally demonstrates that
the student has read, viewed, and considered a variety of
learning resources, as well as resources available through the
Walden University library and other credible online resources
(guidelines, expert opinions etc.) • Does not meet the
minimum requirements for discussion posts; has not posted by
the due date at least in part.

12 to
>0 pts

Poor

Discussion
postings and responses are unresponsive to the requirements of
the Discussion instructions. • Does not clearly address the
objectives of the discussion or the question/s or prompt/s. •
Does not demonstrate that the student has read, viewed, and
considered a variety of learning resources, as well as
resources available through the Walden University library and
other credible online resources (guidelines, expert opinions
etc.) • Does not meet the requirements for discussion posts;
has not posted by the due date and did not discuss late post
timing with faculty.

20 pts

This criterion is linked to a
Learning OutcomeCONTENT REFLECTION and MASTERY: Initial Post (30
possible points)

30 to
>29.0 pts

Excellent

Initial
Discussion posting: • Post demonstrates mastery and
thoughtful/accurate application of content and/or strategies
presented in the course. • Posts are substantive and
reflective, with critical analysis and synthesis
representative of knowledge gained from the course readings
and current credible evidence. • Initial post is supported
by 3 or more relevant examples and research/evidence from a
variety of scholarly sources including course and outside
readings.

29 to
>23.0 pts

Good

Initial
Discussion posting: • Posts demonstrate some mastery and
application of content, applicable skills, or strategies
presented in the course. • Posts are substantive and
reflective, with analysis and synthesis representative of
knowledge gained from the course readings and current credible
evidence. • Initial post is supported by 3 or more relevant
examples and research/evidence from a variety of scholarly
sources including course and outside readings.

23 to
>18.0 pts

Fair

Initial
Discussion posting: • Post may lack in depth, reflection,
analysis, or synthesis but rely more on anecdotal than
scholarly evidence. • Posts demonstrate minimal
understanding of concepts and issues presented in the course,
and, although generally accurate, display some omissions
and/or errors. • There is a lack of support from relevant
scholarly research/evidence.

18 to
>0 pts

Poor

Initial
Discussion posting: • Post lacks in substance, reflection,
analysis, or synthesis. • Posts do not generalize, extend
thinking or evaluate concepts and issues within the topic or
context of the discussion. • Relevant examples and scholarly
resources are not provided.

30 pts

This criterion is linked to a
Learning OutcomeCONTRIBUTION TO THE DISCUSSION: First Response
(20 possible points)

20 to
>19.0 pts

Excellent

Discussion
response: • Significantly contributes to the quality of the
discussion/interaction and thinking and learning. • Provides
rich and relevant examples and thought-provoking ideas that
demonstrates new perspectives, and synthesis of ideas
supported by the literature. • Scholarly sources are
correctly cited and formatted. • First response is supported
by 2 or more relevant examples and research/evidence from a
variety of scholarly sources including course and outside
readings. • Responds to questions posed by faculty.

19 to
>15.0 pts

Good

Discussion
response: • Contributes to the quality of the
interaction/discussion and learning. • Provides relevant
examples and/or thought-provoking ideas • Scholarly sources
are correctly cited and formatted. • First response is
supported by 2 or more relevant examples and research/evidence
from a variety of scholarly sources including course and
outside readings. • Responds to questions posed by faculty.

15 to
>12.0 pts

Fair

Discussion
response: • Minimally contributes to the quality of the
interaction/discussion and learning. • Provides few examples
to support thoughts. • Information provided lacks evidence
of critical thinking or synthesis of ideas. • There is a
lack of support from relevant scholarly research/evidence. •
No response to questions posed by faculty.

12 to
>0 pts

Poor

Discussion
response: • Does not contribute to the quality of the
interaction/discussion and learning. • Lacks relevant
examples or ideas. • There is a lack of support from
relevant scholarly research/evidence. • No response to
questions posed by faculty.

20 pts

This criterion is linked to a
Learning OutcomeCONTRIBUTION TO THE DISCUSSION: Second Response
(20 possible points)

20 to
>19.0 pts

Excellent

Discussion
response: • Significantly contributes to the quality of the
discussion/interaction and thinking and learning. • Provides
relevant examples and thought-provoking ideas that
demonstrates new perspectives, and extensive synthesis of
ideas supported by the literature. • Second response is
supported by 2 or more relevant examples and research/evidence
from a variety of scholarly sources including course and
outside readings. • Scholarly sources are correctly cited
and formatted. • Responds to questions posed by faculty.

19 to
>15.0 pts

Good

Discussion
response: • Contributes to the quality of the
interaction/discussion and learning. • Provides relevant
examples and/or thought-provoking ideas • Second response is
supported by 2 or more relevant examples and research/evidence
from a variety of scholarly sources including course and
outside readings. • Scholarly sources are correctly cited
and formatted. • Responds to questions posed by faculty.

15 to
>12.0 pts

Fair

Discussion
response: • Minimally contributes to the quality of the
interaction/discussion and learning. • Provides few examples
to support thoughts. • Information provided lacks evidence
of critical thinking or synthesis of ideas. • Minimal
scholarly sources provided to support post. • Does not
respond to questions posed by faculty.

12 to
>0 pts

Poor

Discussion
response: • Does not contribute to the quality of the
interaction/discussion and learning. • Lacks relevant
examples or ideas. • No sources provided. • Does not
respond to questions posed by faculty.

20 pts

This criterion is linked to a
Learning OutcomeQUALITY OF WRITING (10 possible points)

10 to
>9.0 pts

Excellent

Discussion
postings and responses exceed doctoral level writing
expectations: • Use Standard Academic English that is clear,
concise, and appropriate to doctoral level writing. • Make
few if any errors in spelling, grammar, that does not affect
clear communication. • Uses correct APA 7 format as closely
as possible given the constraints of the online platform. •
Are positive, courteous, and respectful when offering
suggestions, constructive feedback, or opposing viewpoints.

9 to
>8.0 pts

Good

Discussion
postings and responses meet doctoral level writing
expectations: • Use Standard Academic English that is clear
and appropriate to doctoral level writing • Makes a few
errors in spelling, grammar, that does not affect clear
communication. • Uses correct APA 7 format as closely as
possible given the constraints of the online platform. • Are
courteous and respectful when offering suggestions,
constructive feedback, or opposing viewpoints.

8 to
>6.0 pts

Fair

Discussion
postings and responses are somewhat below doctoral level
writing expectations: • Posts contains multiple spelling,
grammar, and/or punctuation deviations from Standard Academic
English that affect clear communication. • Numerous errors
in APA 7 format • May be less than courteous and respectful
when offering suggestions, feedback, or opposing viewpoints.

6 to
>0 pts

Poor

Discussion
postings and responses are well below doctoral level writing
expectations: • Posts contains multiple spelling, grammar,
and/or punctuation deviations from Standard Academic English
that affect clear communication. • Uses incorrect APA 7
format • Are discourteous and disrespectful when offering
suggestions, feedback, or opposing viewpoints.

10 pts

Total Points: 100

To Prepare

  • Review the Learning Resources covering barriers to implementation.
  • Explore the barriers associated with your implementation.
  • Consider how you might plan to overcome these barriers.